Сестринское дело в психиатрии: лист заданий с ответами

How does naltrexone help people with alcohol dependence?

1. AIt replaces alcohol in the brain and prevents withdrawal seizures
2. BIt causes vomiting and flushing if the person drinks alcohol
3. CIt speeds up the breakdown of alcohol in the liver so that the person never feels drunk
4. DIt blocks opioid receptors and reduces the craving and pleasure from drinking

Зачем пациентам с алкогольной зависимостью дают тиамин (витамин B1)?

1. AЧтобы алкоголь стал неприятным на вкус
2. BЧтобы лечить цирроз печени
3. CЧтобы уменьшить тягу к алкоголю
4. DЧтобы предотвратить или лечить энцефалопатию Вернике

Which rare but serious adverse effect should a man taking trazodone be taught to report urgently?

1. ADarkening of the skin on the hands and face
2. BA painful erection that does not go away
3. CA dry cough
4. DRinging in the ears

Which physical finding is common in bulimia nervosa?

1. ASwelling of the salivary glands at the angle of the jaw
2. BVery low body weight with lanugo hair
3. CA high serum potassium level
4. DRaised blood pressure, a fast pulse and a high temperature

How should a patient take sublingual buprenorphine-naloxone tablets?

1. ACrush the tablet and mix it with a spoonful of soft food such as yoghurt
2. BChew the tablet quickly and then swallow it with juice so that it reaches the stomach faster
3. CLet the tablet dissolve completely under the tongue without chewing or swallowing it
4. DSwallow the tablet whole with a large glass of water

How does repetitive transcranial magnetic stimulation (rTMS) differ from ECT?

1. AIt uses magnetic pulses on the scalp while the patient is awake, without causing a seizure
2. BIt needs a general anaesthetic and causes a seizure, like ECT
3. CIt involves surgically implanting electrodes deep in the brain under anaesthetic
4. DIt is given as a daily tablet that contains tiny magnetic particles

A charming patient with antisocial personality disorder tells a new nurse, "The other nurses always let me smoke in my room. You're cooler than them, right?" What is the best response?

1. A"Smoking is only allowed in the garden, and that rule is the same for everyone."
2. B"I'll let you if you promise not to tell anyone else about it."
3. C"Well, if the others let you, I suppose it's fine this once."
4. D"You're lying to me. The other nurses would never let you smoke in your room, so stop trying it on."

A resident with dementia accuses staff of stealing her purse, which she has misplaced. What is the most appropriate response?

1. AInsist that nobody would steal from her
2. BTell her that her memory is the problem and that the purse is not stolen
3. CStay calm, acknowledge her worry and offer to help her look for it
4. DIgnore the accusation and walk away until she forgets about it